4th Quarter for TENNESSEE FUNERAL DIRECTORS ASSN PAC submitted on 01/10/2005

Beginning Balance

Receipts

Contributor	C/P	Date	Amount
ANTON , MICHAEL 575 GEORGE ANDERSON MEDINA , TN 38355 PSYCHOLOGIST SELF		11/14/2011	$200.00
ASSESSMENT COUNSELING AND TRAINING SERVI PO BOX 822 COOKEVILLE , TN 38503		10/04/2011	$100.00
AUBLE , PAMELA 2200 21ST AVENUE SOUTH, SUITE 401 NASHVILLE , TN 37212 PSYCHOLOGIST SELF		08/20/2011	$100.00
BEHAVIORAL MEDICINE INSTITUTE, P.C. 6231 HIGHWAY PLACE, SUITE 101 KOXVILLE , TN 37919		01/10/2011	$500.00
BERRY , JAMES 8844 WESSEX DR KNOXVILLE , TN 37923 PSYCHOLOGIST EBEZNER COUNSELING CR.		09/20/2011	$100.00
BLACK , MARY 2400 CRESTMOOR ROAD, STE 308 NASHVILLE , TN 37215 PSYCHOLOGIST SELF		10/25/2011	$300.00
BLAIR , KELLY 194 RAMBLEWOOD DR JACKSON , TN 38305 PSYCHOLOGIST SSELF		07/24/2011	$120.00
BLAKE , CANDICE 1360 DURWOOD RD KNOXVILLE , TN 37922 PYCHOLOGIST SELF		07/26/2011	$100.00
BOATWRIGHT , LYNN 812 BRYNWOOD DRIVE CHATTANOOGA , TN 37415 PSYCHOLOGIST SELF		07/24/2011	$300.00
BOLIN , EDWARD 15 FOREST CT KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		09/21/2011	$100.00
BRIETSTEIN , H ABRAHAM 8940 KELSEY LANE KNOXVILLE , TN 37922 CLINICAL PSYCHOLOGIST SELF		08/24/2011	$150.00
CAMP , CHARISSA 7540 NESHORO RD GERMANTOWN , TN 38138 PSYCHOLOGIST SELF		07/23/2011	$300.00
CARTWRIGHT , STEPHEN P.O. BOX 367 ATHENS , TN 37371 SR PSYCHOLOGICAL EXAMINER SELF		08/03/2011	$100.00
CHANIN , PHILIP 2323 21ST AVE SOUTH, SUITE 401 NASHVILLE , TN 37212 PSYCHOLOGIST SELF		12/31/2011	$300.00
CLARK , ROGER 990 DIXIE BEE ROAD ADAMS , TN 37010 PSYCHOLOGIST U.S. ARMY		08/10/2011	$150.00
CUTTS , TERESA 2004 HIGBEE ST MEMPHIS , TN 38104 PSYCHOLOGIST METHODIST MEDICAL CENTER		11/06/2011	$200.00
DINGUS , C. M. 3811 13TH AVE SOUTH SEATTLE , WA 98108 PSYCHOLOGIST SELF		07/28/2011	$100.00
EDWARDS , FRANK 1003 CAIRO RD GALLATIN , TN 37066 PSYCHOLOGIST RETIRED		08/03/2011	$300.00
FOREMAN , GREGORY 835 MEADOWFIELD DR KNOXVILLE , TN 37923 PSYCHOLOGIST BEHAVIORAL MEDICINE INSTITUTE		09/19/2011	$75.00
GLASS , SCOTT 6025 BROOKVALE LN STE 205 KNOXVILLE , TN 37909 PSYCHOLOGIST SELF		07/25/2011	$100.00
HANAWAY , THOMAS PO BOX 50431 KNOXVILLE , TN 37950 CLINICAL PSYCHOLOGIST SELF		07/22/2011	$200.00
HANDLER , LEONARD 1800 KINGLET LANE KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		08/08/2011	$200.00
HOWELL , HAMPTON 331 GLENNPARK DR NASHVILLE , TN 37217 PSYCHOLOGIST SELF		07/26/2011	$40.00
JOHNSON , PHILIP 315 MARKET STREET CHATTANOOGA , TN 37402 PSYCHOLOGIST SELF		11/08/2011	$25.00
JOHNSTON , ROSE 4646 POPLAR AVE. MEMPHIS , TN 38117 PSYCHOLOGIST SELF		11/12/2011	$100.00
JONES , TED 7536 DEANE HILL DR KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		07/31/2011	$200.00
KERTAY , LES 100 SOUTH GERMANTOWN RD. CHATTANOOGA , TN 37411 PSYCHOLOGIST UNUM-PROVIDENT, CHATTANOOGA		11/04/2011	$300.00
KRONK , PHILLIP 956 BLUFF VIEW RD KNOXVILLE , TN 37919		07/26/2011	$100.00
LAURENCE , LANCE 2360 WILD PEAR TRAIL DANDRIDGE , TN 37725 PSYCHOLOGIST SELF-EMPLOYED		11/01/2011	$300.00
LAVIN , PATRICK 612 VALLEY BRIDGE DR CHATTANOOGA , TN 37415 CLINICNAL PSYCHOLOGIST SELF		08/01/2011	$200.00
LEMAY , MARK 1597 GLEASON DRIVE JEFFERSON CITY , TN 37760 CLININCAL PSYCHOLOGIST SELF		07/22/2011	$75.00
LETT , NANCY 1411 LIMBAUGH LN KNOXVILLE , TN 37923 SCHOOL PSYCHOLOGIST SELF		08/02/2011	$50.00
LIVENGOOD PSYCHOLOGICAL SERVICES, LLC 1384 HIGHWAY 100 CENTERVILLE , TN 37033		07/22/2011	$100.00
LONG , PAUL 6400 LEE HIGHWAY STE 110 CHATTANOOGA , TN 37421 PSYCHOLOGIST SELF		10/20/2011	$45.00
MAY , JONATHAN 2823 HILLSIDE DR. NASHVILLE , TN 37212 PSYCHOLOGIST SELF		09/23/2011	$100.00
MAZUR , FRANK 1715 KIRBY PKWY, SUITE 4 MEMPHIS , TN 38120 CLINICAL PSYCHOLOGIST SELF		07/26/2011	$200.00
MCCOY , MARTY 3019 DUNMIRE DR. MURFREESBORO , TN 37129 PSYCHOLOGIST SELF		06/26/2011	$1,000.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		06/15/2011	$25.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		07/15/2011	$25.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		08/15/2011	$25.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		09/15/2011	$25.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		10/14/2011	$25.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		11/15/2011	$25.00
MCDANIEL , TERRELL 131 SANDERS FERRY ROAD, SUITE 203 HENDERSONVILLE , TN 37075 PSYCHOLOGIST SELF-EMPLOYED		12/15/2011	$25.00
MENTAL HEALTH RESOURCES, PLLC 1037 CRESTHAVEN RD. MEMPHIS , TN 38119		07/30/2011	$300.00
MILLINGTON , JUDY 110 E. MAIN ST. KINGSPORT , TN 37660 PSYCHOLOGIST SELF		08/31/2011	$100.00
MURPHY , DANIEL 4940 ALDEN COVE HORN LAKE , MS 38637 COUNSELING PSYCHOLOGIST SELF		08/17/2011	$50.00
NEUMANN , JOSEPH 400 PINE HILL RD ELIZABETHTON , TN 37643 SR PSYCHOLOGICAL EXAMINER SELF		08/04/2011	$25.00
NLR MANAGEMENT CORPORATION 1111 NORTHSHORE DR. KNOXVILLE , TN 37919		07/25/2011	$300.00
NYGARD , KORTNER 1504 RIVERWOOD DRIVE NASHVILLE , TN 37216 PSYCHOLOGIST SELF		11/14/2011	$200.00
OGLESBY , LISA 5101 RIVERBRIAR ROAD KNOXVILLE , TN 37919 PSYCHOLOGIST SELF-EMPLOYED		07/25/2011	$260.00
OZBEK , IRENE NICKY 4716 N FAIRMONT SIGNAL MOUNTAIN , TN 37377 PSYCHOLOGIST SELF		11/03/2011	$100.00
PATEL , ERIN 1120 LUSITANO COURT NOLENSVILLE , TN 37135 PSYCHOLOGIST VA MEDICAL CENTER		10/25/2011	$50.00
PAUL , CONNIE 4709 LYNN MEMPHIS , TN 38122 CLINICAL PSYCHOLOGIST SELF		10/19/2011	$100.00
PEARCE , REBECCA 1501 16TH AVENUE S. NASHVILLE , TN 37212 CLINICAL PSYCHOLOGIST SELF		07/22/2011	$100.00
PHILLIPS , MARK 7640 HWY 70 SOUTH, SUITE 209 NASHVILLE , TN 37221 PSYCHOLOGIST SELF-EMPLOYED		07/29/2011	$300.00
ROBERT K ALBISTON, PH.D., P.C. 1002 BRADFORD WAY KINGSTON , TN 37763		07/22/2011	$100.00
RYMER , BILL P.O. BOX 1341 GREENVILLE , TN 37744 PYSCHOLOGIST SELF		07/28/2011	$200.00
SALAMONE , RICHARD 739 BLUFF CITY HWY SUITE 2 BRISTOL , TN 37620 PSYCHOLOGIST SELF		07/22/2011	$100.00
SERINO , ROBERT 4900 FAIRFIELD CIRCLE MEMPHIS , TN 38117 PSYCHOLOGIST SELF		08/18/2011	$200.00
SHERROD , L. MICHAEL 12764 TANGLEWOOD DRIVE KNOXVILLE , TN 37922 PSYCHOLOGIST SELF		07/31/2011	$300.00
SHIELDS , PATRICIA 119 BRADBURY COURT TULLAHOMA , TN 37388 RN SR PSYCHOLOGICAL EXAMINER VA HOSPITAL		11/04/2011	$150.00
SMITH , GRETA 1205 MELVIN AVE MARYVILLE , TN 37803 PYSCHOLOGIST SELF		07/31/2011	$100.00
SOLOVEY , DAVID 7320 JARNIGAN RD CHATTANOOGA , TN 37421 PSYCHOLOGIST SELF		09/19/2011	$100.00
STEIN , ADELE 4914 LYNMONT DR NASHVILLE , TN 37215 PSYCHOLOGIST SELF		07/28/2011	$100.00
STEPHENS , TEDD PO BOX 4644 JOHNSON CITY , TN 37602		07/30/2011	$50.00
STILLMAN , DENISE 4607 CHICKSAW RD. KNOXVILLE , TN 37919 CLINICAL PSYCHOLOGIST SELF		09/11/2011	$100.00
SWANDER , KAREN 1307 HICKORY OAK DR KNOXVILLE , TN 37919 PSYCHOLOGIST SELF		07/23/2011	$100.00
TENCH , STEPHEN 4916 DARLINGTON DR NASHVILLE , TN 37211 PSYCHOLOGIST SELF		07/26/2011	$200.00
THOMPSON , PETER 4393 AVONDALE ST MINNETONKA , MN 55345 ENGINEER RETIRED		11/14/2011	$100.00
TROWBRIDGE , ANITA 901 BRYNWOOD DRIVE CHATTTANOOGA , TN 37415 PSYCHOLOGIST SELF		10/11/2011	$300.00
TUDIVER , JUDITH 415 E. UNAKA ST. JOHNSON CITY , TN 37601 PSYCHOLOGIST SELF		07/25/2011	$100.00
VAN EYS , PATTI 461 HOGAN RD NASHVILLE , TN 37220 PSYCHOLOGIST VANDERBILT UNIVERSITY		07/31/2011	$100.00
WAHLER , ROBERT 5209 GREEN VALLEY RD KNOXVILLE , TN 37914 CLINICAL PSYCHOLOGIST SELF		07/27/2011	$300.00
WALKER , JAMES P.O. BOX 121073 NASHVILLE , TN 37212 PSYCHOLOGIST SELF		07/26/2011	$300.00
WALKER , LYNN 3411 HOPKINS LANE NASHVILLE , TN 37215 PSYCHOLOGIST SELF		07/22/2011	$200.00
WEST , G NORMAN 2752 TANGLEWOOD DR CHATTANOOGA , TN 37415 PSYCHOLOGIST SELF		12/27/2011	$150.00
WILLIAM M. HILLNER, PH.D., P.C. 7302 JARNIGAN RD CHATTANOOGA , TN 37421		09/08/2011	$200.00
WISHART , GARY 601 VOLUNTEER PARKWAY SUITE G BRISTOL , TN 37620 PSYCHOLOGIST SELF-EMPLOYED		07/22/2011	$100.00

Disbursements

Vendor	C/P	Purpose	In-Kind	Independent	S/O	Date	Amount
ARMSTRONG , JOE 4708 HILLDALE DRIVE KNOXVILLE , TN 37914	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
BEHAVIORAL MEDICINE INSTITUTE, P.C. 305 WESTFIELD DR. KNOXVILLE , TN 37919		DIRECT MAIL SUPPLIES AND SERVICES				12/29/2011	$551.97
BELL , MIKE 261 COUNTY ROAD 757 RICEVILLE , TN 37370	C	CAMPAIGN CONTRIBUTION				01/06/2012	$500.00
CASADA , GLEN 3144 NATOMA DRIVE THOMPSONS STATION , TN 37179	C	CAMPAIGN CONTRIBUTION				11/05/2011	$250.00
CASADA , GLEN 3144 NATOMA DRIVE THOMPSONS STATION , TN 37179	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
COBB , JAMES 169 EAST RIDGE ROAD SPRING CITY , TN 37381	C	CAMPAIGN CONTRIBUTION				01/06/2012	$500.00
EVANS , JOSHUA P. O. BOX 743 GREENBRIER , TN 37073	C	CAMPAIGN CONTRIBUTION				11/05/2011	$250.00
FORD , OPHELIA 54 NORTH ARCADIAN CIR., APT. 102 MEMPHIS , TN 38103	C	CAMPAIGN CONTRIBUTION				01/06/2012	$1,000.00
HALFORD , CURTIS 127 OLD DYER TRENTON ROAD DYER , TN 38330	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
HARRISON , MICHAEL 115 GREEN ACRES DR ROGERSVILLE , TN 37857	C	CAMPAIGN CONTRIBUTION				01/06/1012	$250.00
HARWELL , BETH HALTEMAN 4525 HARDING PIKE, SUITE 251 NASHVILLE , TN 37205	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
HAYNES , RYAN P.O. BOX 22091 KNOXVILLE , TN 37933	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
HILL , MATTHEW P. O. BOX 322 JONESBOROUGH , TN 37659	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
HILL , MATTHEW P. O. BOX 322 JONESBOROUGH , TN 37659	C	CAMPAIGN CONTRIBUTION				11/05/2011	$250.00
LUNDBERG , JON 212 SKYLINE DRIVE BRISTOL , TN 37620	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
MASSEY , REBECCA DUNCAN 6932 WESTLAND DRIVE KNOXVILLE , TN 37919	C	CAMPAIGN CONTRIBUTION				01/09/2012	$500.00
MCMANUS , STEPHEN 9406 RIVEREDGE DRIVE CORDOVA , TN 38018	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
ODOM , GARY 119 DUNHAM SPRINGS LANE NASHVILLE , TN 37205	C	CAMPAIGN CONTRIBUTION				11/05/2011	$500.00
OVERBEY , DOUG 1105 N. HERITAGE DR. MARYVILLE , TN 37803	C	CAMPAIGN CONTRIBUTION				12/06/2011	$1,000.00
PRUITT , MARY P.O. BOX 120842 NASHVILLE , TN 37212	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
RAMSEY , RON 2132 FEATHERS CHAPEL ROAD BLOUNTVILLE , TN 37617	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
ROBERTS , KERRY P. O. BOX 200 SPRINGFIELD , TN 37172	C	CAMPAIGN CONTRIBUTION				12/06/2011	$1,000.00
SARGENT, JR. , CHARLES PO BOX 1515 FRANKLIN , TN 37065	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
SHEPARD , DAVID 204 MCCREARY HEIGHTS DICKSON , TN 37055	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00
SHIPLEY , TONY P. O. BOX 6173 KINGSPORT , TN 37663	C	CAMPAIGN CONTRIBUTION				01/06/2012	$500.00
SHIPLEY , TONY P. O. BOX 6173 KINGSPORT , TN 37663	C	CAMPAIGN CONTRIBUTION				11/05/2011	$250.00
SHIPLEY , TONY P. O. BOX 6173 KINGSPORT , TN 37663	C	CAMPAIGN CONTRIBUTION				07/11/2011	$250.00
STEWART , ERIC 500 DINAH SHORE BLVD WINCHESTER , TN 37398	C	CAMPAIGN CONTRIBUTION				01/06/2012	$500.00
SUMMERVILLE , JIM 208 MCCREARY HEIGHTS DICKSON , TN 37055	C	CAMPAIGN CONTRIBUTION				01/06/2012	$500.00
TURNER , MICHAEL L. (MIKE) 1408 HADLEY AVENUE OLD HICKORY , TN 37138	C	CAMPAIGN CONTRIBUTION				11/05/2011	$500.00
WHITE , MARK 1661 AARON BRENNER DR., STE. 300 MEMPHIS , TN 38120	C	CAMPAIGN CONTRIBUTION				01/06/2012	$250.00

Vendor	C/P	Purpose	In-Kind	Independent	Date	Amount
SUMMERVILLE , JIM 208 MCCREARY HEIGHTS DICKSON , TN 37055	C	CONTRIBUTION			01/31/2012	[ $500.00 ]

Ending Balance

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Outstanding Loans

In-Kind Contributions

In-Kind Contributions are not included in the report ending balance.

Obligations

Obligations are not included in the report ending balance.

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